Petersonrx, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00559800 Issued in NJ

Legal business name

PETERSONRX, LLC

Practice address

125 N Broadway
South Amboy, NJ 08879-1639

Phone

(732) 721-0137

Fax

(732) 721-0134

NPI assigned

Jan 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dow Jones

Title

Owner

Phone

(732) 721-0137

Specialties & licenses 1

Addresses

Other names 1

• Peterson Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1265854343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N BROADWAY",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791639",
            "telephone_number": "732-721-0137",
            "fax_number": "732-721-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N BROADWAY",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791639",
            "telephone_number": "732-721-0137",
            "fax_number": "732-721-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSONRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-721-0137"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00559800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine V Patel, PHARMACIST
• Trupti B Patel, PHARM.D.
• Nicole Anne Paturzo, BCBA
• Nichole Rose Perez, PMHNP
• Stephany Marie Perez, BSN, RN
• Bertha Pollard, LCADC
• Philip C Pollen Sr., MD
• Primary and Preventative Internal Medicine of Central New Jersey, LLC
• Jennifer Principe
• Pulmonary Care Inc

• Community/Retail Pharmacy in South Amboy, NJ
• Providers in South Amboy, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.